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Naam: ____________________ Datum: ____________
1.Makkelijk
Een patiënt die opioïden tegen pijn krijgt, moet vooral bewaakt worden op:
AMeer eetlust
BDiarree
CAdemhalingsdepressie en sedatie
DHoge bloeddruk
2.Makkelijk
Pain from gallstones (biliary colic) is typically felt in which area?
AThe left lower abdomen, usually after drinking water
BBehind the left knee
CThe lower back on the left, when walking
DThe right upper abdomen, often after a fatty meal
3.Makkelijk
Welk teken bij wondgenezing wijst op een infectie?
ALichte roze kleur en warmte van de wondranden op dag 2
BToenemende roodheid, warmte, zwelling en pus
CVorming van een droge korst
DLichte jeuk terwijl de wond sluit
4.Gemiddeld
Which measure helps reduce the risk of surgical site infection?
AShaving the area with a razor the night before surgery
BChanging the wound dressing every hour
CRemoving hair, if needed, with clippers rather than a razor
DLeaving the patient cool during surgery to slow bacterial growth
5.Gemiddeld
A patient taking a statin reports unexplained muscle pain and weakness. What should the nurse do?
AReport it, as statins can cause muscle damage
BTell them to double the dose
CReassure them that this is a sign the drug is working
DAdvise more vigorous exercise to work through it
6.Gemiddeld
A patient has a fentanyl patch for chronic pain. Which advice is correct?
AApply the patch to broken skin for faster effect
BAvoid heat sources such as hot water bottles over the patch
CKeep using the old patch with the new one
DCut the patch in half if the pain improves, to lower the dose
7.Moeilijk
A patient with several days of vomiting and diarrhoea has low blood pressure, low urine output and a rising creatinine. Which description fits best?
AChronic kidney disease, treated with long-term dialysis three times a week
BPre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
CIntrinsic kidney injury from glomerulonephritis, treated with high-dose steroids
DPost-renal acute kidney injury from obstruction, treated with a catheter
8.Moeilijk
A patient with poorly controlled hyperthyroidism develops a high fever, very fast heart rate, agitation and vomiting during an infection. What is likely?
AThyroid storm
BMyxoedema coma
CAddisonian crisis
DHypoglycaemia
Antwoordenblad
1. C · Ademhalingsdepressie en sedatie
2. D · The right upper abdomen, often after a fatty meal
3. B · Toenemende roodheid, warmte, zwelling en pus
4. C · Removing hair, if needed, with clippers rather than a razor
5. A · Report it, as statins can cause muscle damage
6. B · Avoid heat sources such as hot water bottles over the patch
7. B · Pre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
8. A · Thyroid storm
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